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Home My WebLink About2485 Garfield St; ; 80-76; PermitLICENSED CONTRACTOR'S DECLARATION I hereby affirm that-I am licensed under provi- sions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Profes- sions Code, and my license is in full force and ef- fect. OWNER-BUILDER DECLARATION QI hereby affirm that I am exempt from the Con· tractor's license Law for the following reason (Sec. 7031.5 Business and Professions Code), Any city or county which requires a permit to con- struct, alter, improve, demolish, or repair any structure, prior to its issuance also requires the applicant for such permit to file a signed state- ment that he is licensed pursuant to the provi- sions of the Contractor's License Law (Chapter 9 commencing with Section 7000 of Division 3 of the Business and Professions Code) or that is ex- empt therefrom and the basis for the alleged ex- emption. Any violation of Section 7031.5 by an ap- plicant for a permit subjects the applicant to a civil pena!ly of not more than five hundred dollars ($500). r -1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or of- fered for sale (Sec. 7044, Business and Profes- sions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon and who does such work himself or through his own employees, provided that such improvements are not intended or of- fered for sale. lf, however, the building or improve- ment is sold within one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose cl sale) :-...:1, as owner of the property, am exclusively con· tracting with licensed contractors to construct the project {Sec. 7044, Business and Professions Code: The Contractor"s License Law does not ap- ply to an owner of property ·•ho builds or im- proves thereon, and w~o contracts for such pro- jects with a contracto~) lie nse ursuant to the contractor's License La } I am exempt ifnder S'J',.L----• B. & P.C. for this reason Date I hereby affirm that I have a certificate of con- sent to self-insure. or a certificate of Workers' Compensation Insurance, or a certified copy thereof (Sec. 3800, Labor Code). 6g~~!i?------------- ']Copy is filed with the city. 7Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS" COMPENSATION INSURANCE {This section need not be completed if the per- mit is for one hundred dollars ($100) or less}. I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers· Compensation Laws of California. NOTICE TO APPLICANT: If, after making this Cer- tificate of Exemption, you should become subject to the Workers' Compensation provisions cl the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construct1on len- ding agency for the performance of the work for CITY OF CARLSBAD-BUILDING DEPARTMENT APPLICATION & PERMIT USE BALL POINT PEN ONLY 1200 ELM AVENUE (714) 438-5525 ,o. ,('~ ,R,\:, I''°'' \,r\, JOB ADDRESS AV.ST. ]CATE OF APPLICATION 2,Ll,;?,5, I I I I I I I I I I I I I I I I I '~ I 2'7-lio OWNER beR.\ ~ ,\, OWNER'S PHONE PRIME CONTRACTOR '.v\ Cl"" b1 ~c, l) •c7o~ --\'-\""'.\-I--¥\.I\"" ~«.. 07E~S 3MSLING~RE~S l ,. C \ v1,JC\ p Y7 ~v..:,)\-e_u 'V~:T~~:ss '-j-l i I s~ COT BLOCK I sueo1v1s1~ ' I ASSESSOR'S PARCEL NO. DESIGNER ' ' ' ' ' ' ' ' ' ' ' DESCRGON OFLORK )~ e-\_ \ <"a...1-e Q.. Q. e_ Q \ (\c_ ~ <n e,,J-DESIGNER'S ADDRESS ( CJ., 1\-'S ' ' _) CENSUS TRACT " GP LAND USE ZONING APPLICANT TO FILL IN INFOR- MATION WITHIN RED LINES. BUS. LICENSE PERMIT NUMBER '80-7~ STATE LICENSE :2 41.,,"' ~ (.,, CONTRACTOR'S PHONE 7 zz _-3 = STATE LICENSE DESIGNER'S PHONE ' . I RES. UNITS I P;RKING SPACE sf I NUMBER OF STORIES Not Vah"d Unless Machine C.rtified BLDG SQ. FT. BLOG USE occ. GP I STANDARD PLAN# IPLANID;t I TYPE CONST I occ. LOAD I • ~CHANICAL PERMIT QTY. PLUMBING PERMIT AMT. QTY. AMT. EACH FIXTURE TRAP INSTALL FURfr:'-Q.UCTS UP TO 100,000 BTU EACH BUILDING SEWER "'1.VER 100,000 BTU I EACH WATER HEATER AND/OR VENT 7.00 BOILER/COMPRESSOR UP To'I.IIP . EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3-15 HP "- EACH GAS SYSTEM 5 DR MO RE BOILER/COMPRESSOR 16-30 HP "' EACH INSTAL., ALTER, REPAIR WATER PIPE VENT FAN SINGLE DUCT ' EACH LAWN SPRINKLER SYSTEM MECH EXHAUST -HOOD/DUCTS VALUATION: WATER SOFTNER RELOCATION OF EA FURNACE/HEATER BUILDING PERMIT I I I I I~~,,-, .nn -~ IV\ SIGN PERMIT I I I I ' TOTAL PLUMBING TOTAL MECHANiCAL PLAN CHECK I I I I CONTRACTOR -:5·.GC CONTRACTOR All INCLUSIVE PERMIT I I I QTY. ELE;_fTRICAL PERMIT AMT. QTY. MOl'I\LE HOME PERMIT AMT. TOTAL PLUMBING I I.-, __ ,r.D ELECTRICAL I I . I NEW CONST EA '"l'MP~WT/BKR AWNING '\ MECHANICAL I I . I \ PH .15 "-3 PH PORCH '\. MOBILE HOME I I . I EXIST BLOG EA AMP/SWT/B'N.. SET-UP '\. SOLAR I I I . I I PH .15 ...._.,H RAMADA, CABANA " I I I I REMODEL/ALTER PER CIRCUIT "' FENCE OVER 6' ' I I I . I TEMP POLE 200 AMPS ' TOTAL MOBILE HOME '\. MICO-FILM I I I • I OVER 200 AMPS ...... '\ I I I • I TEMP OCCUPANCY (30 DAYS! \. I I I I Issue 2.00 \. I I I I TOTAL ELECTRICAL \. TOTAL FEES PAYABLE I 1..c; on CONTRACTOR I I I I HAVE CAREFULLY EXAMINED THE COMPLETED "APPLICATION AND PERMIT, ANO DO "AN OSHA PERMIT IS REQUIRED FOR EXCAVATIONS OVER SCHOOL FEES: HEREBY CERT+FY THAT ALL INFORMATION HEREON IS TRUE AND CORRECT ANO I 5'-0"' DEEP AND DEMOLITION OR CONSTRUCTION OF FURTHER CERTIFY ANO AGREE IF A PERMIT IS ISSUED; TO COMPLY WITH ALL CITY, STRUCTURES OVER 3 STORIES IN HEIGHT COUNTY AND STATE LAWS GOVERNING BUILDING CONSTRUCTION, WHETHER ;,1/~r /?U"'--~ YJ,._ d_~/ SPECIFIED HEREIN OR NOT I.ALSO AGREE TO SAVE INDEMNIFY AND KEEP HARM LESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES, JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAV ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT. APPLICANT'S SBATURE" ~ OWNERQ CONTRACTOR• !APPROVED BY DATE AGENT D BY PHONE 0 I • ~ ~ ~ b ;:: u = Q. V, ?; SITE ou-ip ADDRESS: OWhlER: PERMIT NO: FIELD INSPECTION RECORD INSPECTION DATE INSPECTOR INSPECTOR'S NOTES WOOD FLOOR FOUNDATION• FORMS• SET BACK• TOILET UNDER FLOOR PLUMBING UNDER FLOOR HEATING OK TO !NSTALL SUB FLOOR SLAB FLOOR UNDER SLAB PLUMBING FOOTING• FORMS• SETBACK• TOILET OK TO POUR CONCRETE FRAME ROUGH ELECTRICAL ROUGH PLUMBING ROUGH HEATING/VENTILATING FRAME OK• PLACE INSULATION INSULATION OK • PLACE WALLBOARD WALLBOARD OK• PLACE TAPE EXTERIOR LATH OK• PLACE STUCCO FIREPLACE DAMPER & STEEL PLATE TIES/HEIGHT OF CHIMNEY OTHER TEMP POWER {POLE) : SEWER : GAS TEST i SWIM POOL• STEEL BONDING • PRE DECK • FENCE PREPLASTER SHOWN • FRAME rA J • PAN I; V ,,J FINAL !NSP BY BLDG DEPT /) ,-,\ Hf\ N1 OTHE~ DEPT'S REQ COMPLETED // _,,,, /, j\U ELEC METER-PERM-TEMP / \ u 1uASMETER-PERM-TEMP ' - I 1-- I i---------· j CE_:_~ OF OCCUPANCY ISSUED